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Home My WebLink Aboutbergen gen app, contractAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 91ro LUCEC Oma' o ° p Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Gen PROPOSED IMPROVEMENT LOCATION: Address: 7004 Deland AVEFort Pierce, FL 34951 Property Tax ID #: 1301-612-0190-000-4 Lot No. Site Plan Name: Bergen gen Block No. Project Name: [DETAILED DESCRIPTION Of WORK: - ay�vM4.�iG 4 yl -'e K- c✓ I G vt New Electrical Meter Second Electrical Meter CONSTRUCTION. I NFORMATION: Additional work to be performed under this permit- check all that apply: _ GasTank _ Gas Piping Shutters Windows/Doors Pond ,M,eanical ric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $�� QQS dC Utilities: _Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name William Bergen Name:Michal Flaxman Address: 7004 Deland AVE Company: Energized electric City: Fort Pierce State: _ Address:4252 Bandy Blvd Zip Code: 34951 Fax: City: ft pierce State: FL Phone No. 8136136333 Zip Code: 34981 Fax: E-Mail:Wildive117@aol.com Phone No 7724661095 Fill in fee simple Title Holder on next page ( if different E -Mail energizedgenerators@gmail.com from the Owner listed above) State or County License EC 13006279 If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DE$IGNERIENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name. Address: Address: City: — State: City- —State: Sworn to (or affirmed) and subscribed before me of cal Pre§ence or Online Notarization �h_ ay of n) -2020 by FEE SIMPLE TITLE HOLDER: _NotApplicable BONDING COMPANY: Applicable Name: Name: —Not Address: Address: city: City: Zip: Pficine; Zip: Phone: Produced _, pp"="=u,:yepvmaoeroomtamapenn�*ndothe wor �nd�nx�J�t�nasin��ated (ce�hvthotno workn,ins�|��onhascnmmencedpr�rtnthe�sopnceufaparm/� ~ � " ]c--� that i s«'«n, permit build h structure which �rvcturc�P�aau�cunsu|Lv�tK��r��'~~ ""''"'= "/ '°' zn�may �stnctor prohibit such Association and review your deed for any restrictions which may apply- Inconsiderat|nnofthegqnrinQufthisrequestedPrrmherebyagree ethat|wU( ina8nspect�pe�ormthe work /maccordance with the approved p|on�the Florida Building Codes andStLucieCuvn'Amcndments. The following building permit applications are exempt from undergoing mfull concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the ' o^u6'|i°c='records of St. Lucie County and posted unthe jnbsitebefore the first insoertion |fyou intend tri nh,|"*"°// with ld recording . your Notice of Commencemen "s�°'�"' k STATE OF FLORIDA<:� STATE OF FLORIDA— Sw�.rq to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of cal Pre§ence or Online Notarization �h_ ay of n) -2020 by _)!;��hysical Presence or Online Notarization this day of 2020 by _ma�f'ng Name of`perscn Gtement. Name of person making statement. Per5onallyKnown "`��OR Produced identification— PersonallyKnown OR Produced Identification Type of Identificati-o—n TVpe of identification duced Produced ;(ignature'�cf LNotaryP� (Si ta FXpIRES: june 27 2099 Co ULEZ NG MYCOMMISSIO SUPERVISOR PLANS MAN G ROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED *Treasure Coast 772®466-1095, 4252 Bandy Blvd, Fort Perce, FL, 34981, Fax 772-318-6672* *Palm Beach 561-752-0214, 1700 Latham. Rd, Suite 2, West Palm Beach, FL, 33409' Proposal / Contract William Bergen June 25, 2020 7004 Deland Ave Fort Pierce, FL 34951 813-613-6333 Wildive117@aol.com Energized Electric is pleased to quote on your new generator purchase & installation: Energized Electric hereby agrees to furnish all labor and materials necessary for the completion of services as specified below: 1) Supply and Install (1) 16,000 watt Generac generator model #7178 with Wi-Fi enabled monitoring device 2) Supply and install (1) 200 amp service entrance rated automatic transfer switch with (3) load sharing modules if needed 3) Supply preformed concrete slab 4) Deliver and set generator in place 5) Includes labor, battery for generator, materials, and permitting 6) Start up and test 7) Price includes 1St Year Silver Maintenance 8) Price includes 7 year extended warranty through Generac NOTE: Gas work to be done by Thompson Gas (quoted on separate proposal) NOTE: Energized Electric is NOT responsible for grass that dies or landscaping that has to be replaced for proper installation of conduits. If replacement of sod is requested Energized Electric will replace/install up to 100 SO feet of sod for $395.00 Generator and Install: $9,495.00 Discount: -$500.00 [hor the sum / $8,9:• Ucensed I& Insured *EC13 0627 � o s Ed l gra �g ® rs aa�m ss webers,vjvY.E ergizedgenerators,,romp Charges & Payments. Charges are due in full at time services are rendered unless otherwise stated below. Contractor may charge and customer agrees to pay a late fee for all past due payments, such fees not to exceed the maximum allowed rate by applicable law. Customer shall be responsible and agrees to pay for all charges billed, applicable taxes, applicable legal fees and other charges/fees. Proposal/Contract pricing good for 30 days from Proposal/Contract date $1,995.00 is due @ Signing due @ Release of permits due @ Generator Installation Start We appreciate the opportunity you have extended us to quote on this work and would like to thank you in advance for your considerations Authorized signature. Brian Orr Acceptance of Proposal (printed name), authorize Energized Electric to complete the work in accor nce with the above specifications and conditions. I agree to pay as per terms outlined above. Date Signature Thank you for choosing Energized Electric Your Authorized Elite Dealer, Paying attention -to e v y detail! "Serving the East Coast of Florida This agreement shall be construed under the laws of the State of Florida. This agreement contains the entire understanding of the parties and supersedes all previous verbal or written agreements: there are no other agreements, representations or warranties not set forth herein. If any conflicts exist in this agreement between terms which are printed and those which are typed or written, the typed or written language shall govern. Page 2 of 3 For Generac 5 year Extended Warranty ($495.00) Initial For Generac 7 year extended warranty ($695.00) Initial For Generac 10 year extended warranty ($995.00) Initial Proposal does NOT include disconnecting and reinstalUnt zolar systems. Additional charges viiii apply if solar systems are installed and fed from the loa ,a s4de of the aubur-niatuk Energized Electric recommends homeowner let the sola; cvr luny knauj _ k"ia t tsNe system being installed Energized Electric supplied labor and electric material are warrantied for final inspection or completion. If no permits were required, the equipment and parts are per manufacturer's warranty policy I EnergUefd Electrac is MOT responsible for water or se4,,jey line repairs, and jL91H riot be rasponMMe dor broken %nater or sewer lines that occur during the installation ,process FLOOD O PROPERTIES: r O• Customerplany additional r, '._ for elevated requiredthe cost of engineering for the elevation certificate if by building devartment 3 d �._ ._ .� ti, a customer x initial _ .. cancels after lam'. .'!. this contract for any reason. No refunds will be given at all after permits have been applied for or r begins A site survey of your property showing property lines is required to pull a permit. Please provide along with this signed proposal Customer will be responsible for getting approval from their H.O.A or P.O.A Energized will not be liable for customer not obtaining final approval Energized electric for shutdowns. Energized Electric will not be responsible for any delays caused by product shortage,• !materials delays Price does not include a sure start or hard start if required for A/C. Additional charges will apply if required. By signing below, I agree to all the terms stated above, Printed name Date Signature Page 3 of 3